| NPI | 1932423704 |
|---|---|
| Former Name | LAUREN HEATHER MARCEWICZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: GA 79235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 79235) |
| 2080H0002X (Licence: NY 267806) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2022-12-15 |