| NPI | 1902820608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY H. GOLDEN Practice Administrator 757-539-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA VA-504-01) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-11-16 |