| NPI | 1891089298 |
|---|---|
| Other Name | JAKE GIBBENS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A155597) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2022-02-11 |