| NPI | 1033308069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT COHEN Physician/President 804-733-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101040658) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-19 |