NPI | 1740742584 |
---|---|
Former Name | AMARE SAMUEL TESFASELASSIE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D94878) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0094878) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2022-11-04 |