Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 4301094230 | MI |
Y | 2080P0203X | Pediatric Critical Care Doctor | 61094 | MN |
NPI | 1114156072 |
---|---|
Provider Name | Yu Kawai |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 07/10/2020 |