NPI | 1083671085 |
---|---|
Former Name | BELAY TESSEMA ESHETE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 36345) |
Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: TN 36345) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2010-03-11 |