| NPI | 1346791225 |
|---|---|
| Former Name | GREG D GIBBS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2019015699) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2019-08-22 |