| NPI | 1427289321 |
|---|---|
| Former Name | DEREJE DESTA GEBRESELASSIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P2635) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2017000620) |
| 207R00000X Internal Medicine (Licence: TX P2635) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2019-12-11 |