| NPI | 1649379967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUK-WAN LEE Owner/Sole Proprietor 937-332-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35036869) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |