Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 14139 | TX |
NPI | 1760093231 |
---|---|
Provider Name | Dr. Sang Hoon Lee |
First Address | Houston, TX 77040-6969 |
Second Address | Houston, TX 77040-6969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |