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 |