NPI | 1356962500 |
---|---|
Former Name | PYAE SONE HTWE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 324578) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-29 |
Last Update Date | 2023-07-17 |