Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | C54490 | CA |
NPI | 1083908289 |
---|---|
Provider Name | Dr. John Juheon Lee |
First Address | Stanford, CA 94305-5463 |
Second Address | Stanford, CA 94305-5463 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 06/06/2011 |