| NPI | 1699318857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOOPUR GOEL President 952-201-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2025-01-08 |