| NPI | 1396910501 | 
|---|---|
| Former Name | TESFAY JULIEN TEKLE | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX S0578) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S0578) | 
| Enumeration Date | 2008-04-29 | 
| Last Update Date | 2025-08-26 |