| NPI | 1164757498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN CRUZ Physician/President 757-460-7447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101221356) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-12-21 |