| NPI | 1629142815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALLA AJIT Owner 937-568-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35082392) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-03-25 |