| NPI | 1295368611 |
|---|---|
| Former Name | HONGRYUL LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66122) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302412345) |
| 183500000X Pharmacist (Licence: FL PS60294) | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2025-10-13 |