| NPI | 1184679276 |
|---|---|
| Former Name | SUTTISAK CHAVALITHAMRONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A93956) |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine (Licence: CA A93956) |
| 208M00000X Hospitalist (Licence: CA A93956) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-05-28 |