| NPI | 1033535828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO Vice President 410-832-7790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 0858289.09) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2019-08-05 |