NPI | 1548829872 |
---|---|
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 | 2019-06-11 |
Last Update Date | 2020-08-10 |