| NPI | 1548455868 |
|---|---|
| Former Name | CRISTOBAL J CRUZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PR 17584) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME108974) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2018-12-18 |