Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A125891 | CA |
N | 2084V0102X | Vascular Neurology | A125891 | CA |
NPI | 1306006374 |
---|---|
Provider Name | Dr. Kevin Alfred Shapiro |
First Address | Boston, MA 02115-5724 |
Second Address | San Francisco, CA 94143-0003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 22/07/2017 |