| NPI | 1194381947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN N LAIRD Authorized Official 410-458-8713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-08-10 |