| NPI | 1407124753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN J SALEM Owner/Director 208-552-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2012-01-04 |