Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 34.015316 | OH |
N | 208600000X | Surgeon | 34.015316 | OH |
N | 2086S0102X | Surgical Critical Care | 34.015316 | OH |
Y | 2086S0127X | Trauma Surgeon | 34.015316 | OH |
NPI | 1326432212 |
---|---|
Provider Name | Leon White JR. |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 27/12/2021 |