Doctor Name: | DANIEL WONIL LEE |
NPI Number: | 1164451753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD036942 |
Business Practice Address: | 111 Founders Plz Suite 400 East Hartford, CT - 061083212 |
Business Phone Number: | 8602893375 |
Business Fax Number: | |
Mailing Address: | 111 Founders Plaza, Suite 400 EAST HARTFORD |
State: | CT |
Postal Code: | 06108 |
Phone Number: | 8602893375 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 05/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | MD036942 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |