Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 35023595 | OH |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 35023595 | OH |
NPI | 1437167814 |
---|---|
Provider Name | Leon Neiman |
First Address | Fairlawn, OH 44333-2663 |
Second Address | Fairlawn, OH 44333-2663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 31/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009270 | (05) | OH |
3139017 | (05) | OH |
A70410 | (02) |