Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | C129773 | CA |
NPI | 1013907047 |
---|---|
Provider Name | Dr. Byung Ho Lee |
First Address | Hanford, CA 93230-3576 |
Second Address | Hanford, CA 93230-3576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 16/03/2021 |