Individual
RUSS TATSUTO KALANI OMIZO
Active
Individual
RUSS TATSUTO KALANI OMIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD18876
OR
2085R0203X
Therapeutic Radiology Physician
MD18876
OR
Other
Enumeration date
10/06/2005
Last updated
04/22/2020
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