| NPI | 1093924391 |
|---|---|
| Former Name | MICHAEL T HAILEMARIAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2024038194) |
| Additional Taxonomies | 202K00000X (Licence: AL 34547) |
| 202K00000X (Licence: MO 2024038194) | |
| 207Q00000X Family Medicine (Licence: AL 34547) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: MO 2024038194) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-12-13 |