| NPI | 1407558729 |
|---|---|
| Other Name | DANIEL LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101284423) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-11-26 |