| NPI | 1578710422 |
|---|---|
| Former Name | EDDIEMAR ORTIZ CRUZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PR 18963) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 12000 i) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2014-12-12 |