| NPI | 1104652486 |
|---|---|
| Other Name | ALEX ADAM HEIMBERG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110010489) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-12-02 |