| NPI | 1548789910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGDEEP BIJWADIA Owner 612-618-1402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 46171) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 40706) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 46171) | |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2019-01-27 |