Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 35.088259 | OH |
Y | 2084N0402X | Child Neurologist | ME110288 | FL |
NPI | 1326061862 |
---|---|
Provider Name | Ki Hyeong Lee |
First Address | Orlando, FL 32803-1456 |
Second Address | Orlando, FL 32803-1456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 15/05/2013 |