Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 5710 | NV |
NPI | 1194871186 |
---|---|
Provider Name | Bruce Steven Shapiro |
First Address | Las Vegas, NV 89117-5890 |
Second Address | Las Vegas, NV 89117-5890 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 05/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E71868 | (02) | NV |