| NPI | 1184844326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET STINE Administrator 410-662-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD 32-039) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-02-04 |