| NPI | 1083133144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWABENA OSEI AGYEMAN Owner 804-490-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101233334) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-10-27 |