| NPI | 1952852196 |
|---|---|
| Former Name | SUNG MIN LEE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006467) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058420) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-05-07 |