| NPI | 1124274360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DA-HAE LEE Owner 210-402-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX H1611) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2016-06-15 |