| NPI | 1417167750 |
|---|---|
| Other Name | MARK VATTAKATTIL JOHN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: LA MD202152) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-01-07 |