| NPI | 1093992570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JAY LEE President 703-723-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: VA 0101237837) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101242747) |
| Enumeration Date | 2008-01-27 |
| Last Update Date | 2009-01-23 |