Individual
MUTHANNA AL HASAN
Active
Individual
MUTHANNA AL HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2012012807
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301095340
MI
Other
Enumeration date
08/27/2009
Last updated
03/06/2013
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