| NPI | 1386070159 |
|---|---|
| Other Name | TEWODROS W TEKETEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX Q9058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q9058) |
| 207R00000X Internal Medicine (Licence: CA A128719) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2021-06-18 |