| NPI | 1902070444 |
|---|---|
| Former Name | JASON LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 27733) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2013010789) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-12-20 |