| NPI | 1861855140 |
|---|---|
| Former Name | VIKTOR VASILYEVICH STANKOVICH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 218430) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-03 |