Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 239975 | NY |
NPI | 1003847484 |
---|---|
Provider Name | Michael R Stoffman |
First Address | Williamsville, NY 14221-7183 |
Second Address | Niagara Falls, NY 14304-3113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 16/10/2019 |