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 |