| NPI | 1477968014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG J LEE Physician, Owner 888-985-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD427900) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08184600) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD066819L) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-02-06 |