| NPI | 1124572763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO VP/Area Controller 410-832-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX 802462079) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |