Paul W Jansen, MD Valid NPI

Individual provider · Pediatric Critical Care Medicine Physician · Boise, ID

NPI

1396830881

Type

Individual (Type 1)

Primary specialty

Pediatric Critical Care Medicine Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0203X

License number

M-8574 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-03

Last updated

2011-04-08