| NPI | 1588506174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist (Licence: GA 2001337) |
| Additional Taxonomies | 246W00000X Technician, Cardiology (Licence: GA Z5Q5N4X3) |
| Enumeration Date | 2026-04-06 |
| Last Update Date | 2026-04-06 |