| NPI | 1861569246 |
|---|---|
| Other Name | W. MICHAEL FISSEHA WOLDEMARIAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 36381) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 237475) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-06-05 |