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 |