definiens: means ( i ) prior to the Transition Date, ( A ) all physician practices, including, without limitation, any general practitioners and any internal medicine physicians ( whether or not such general practitioners or internal medicine physicians offer testing, diagnosis or treatment with respect to cardiac conditions ), other than the SJM Target Accounts, and ( B ) such accounts as may be set forth on ( and not removed from ) Appendix C from time to time by mutual agreement of the parties, and ( ii ) from and after the Transition Date, ( A ) such accounts as may be set forth on ( and not removed from ) Appendix C from time to time by mutual agreement of the parties and ( B ) such other accounts as the parties may agree upon in writing from time to time during the term of this Agreement ; it being understood that an email from an SJM Region Sales Director or more senior officer may serve as written confirmation of SJM ' s consent to an account being designated as a Cambridge Target Account