| NPI | 1720213978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DO-EUN LEE Owner 646-326-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A107775) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2022-04-08 |