NPI | 1124463161 |
---|---|
Entity Type | Organization |
Authorized Contact | DMITRIY I PALES Sole Member 720-441-4410 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 46797) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 47080) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2014-03-13 |