| NPI | 1851497564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L. BAUER CEO 716-332-6834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 188498) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: NY 159170) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-08-19 |