| NPI | 1053325910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CANADA Practice Manager 804-262-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-10-16 |