| NPI | 1164664702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENIOLA ADEBAYO OKELANA Director 804-732-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101052627) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2009-03-28 |