Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 128757 | NY |
NPI | 1114011434 |
---|---|
Provider Name | Michail Shafir |
First Address | New York, NY 10028-0959 |
Second Address | New York, NY 10028-0959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |