| 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 |