| NPI | 1316149479 |
|---|---|
| Former Name | SINISA STANISAVLJEVIC |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: IL 036131883) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN 9698) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-02-04 |