| NPI | 1710486295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USMAN AHMAD Owner 419-290-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01077429A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01077429A) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2024-03-26 |