| 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 |