Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD-7517 | HI |
NPI | 1508893967 |
---|---|
Provider Name | Dr. Shay J Lee |
First Address | Waipahu, HI 96797-8135 |
Second Address | Ewa Beach, HI 96706-1993 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 27/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G17681 | (02) | HI |