Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | G84634 | CA |
NPI | 1083655534 |
---|---|
Provider Name | Dr. James Ho Lee |
First Address | Fresno, CA 93720-3164 |
Second Address | Fresno, CA 93720-3164 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 18/05/2017 |