| NPI | 1023365301 |
|---|---|
| Other Name | CODY MATTHEW LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.127203) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2023-06-19 |