| NPI | 1043474737 |
|---|---|
| Former Name | SEUNG YEOP LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA19803) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 19803) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-12-14 |