Individual
YOHANNES WOSSEN ENDESHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
048893
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME108570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951431B
—
GA
05
—
002934400
—
FL
Enumeration date
05/02/2006
Last updated
10/10/2018
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