| NPI | 1023602588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIJU MATHEW Md 267-471-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-07-25 |