NPI | 1851774806 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC SHAPIRO VP, Area Controller 410-832-7790 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2015-07-08 |
Last Update Date | 2019-08-05 |