| NPI | 1386988913 |
|---|---|
| Other Name | FESAHA GEBREHIWOT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 8625) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE 60302987) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2013-01-29 |