| NPI | 1154618650 |
|---|---|
| Former Name | MEDHANE HAGOS MESGENA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 30287) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD165962) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-02-08 |