Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 34-009889 | OH |
Y | 207P00000X | Emergency Physician | P6740 | TX |
N | 208000000X | Pediatrician | 20A9877 | CA |
N | 2080P0203X | Pediatric Critical Care Doctor | 20A9877 | CA |
N | 2080P0203X | Pediatric Critical Care Doctor | 34-009889 | OH |
NPI | 1154516813 |
---|---|
Provider Name | Nachman Ullman |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 09/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3067041 | (05) | OH |