Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | G44983 | CA |
NPI | 1053317818 |
---|---|
Provider Name | Dr. Raymond W. Lee |
First Address | San Jose, CA 95116-1588 |
Second Address | San Jose, CA 95116-1588 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 13/05/2008 |