Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 2739 | NV |
NPI | 1548254949 |
---|---|
Provider Name | Dr. Leonard Shapiro |
First Address | Sparks, NV 89431-8544 |
Second Address | Sparks, NV 89431-8544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D42993 | (02) | NV |