| NPI | 1376579755 |
|---|---|
| Former Legal Business Name | DR GURSAL LLC |
| Entity Type | Organization |
| Authorized Contact | KEVIN LAKE Doctor 614-748-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH oh34005855l) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |