| NPI | 1942281035 |
|---|---|
| Former Name | STANISLAV GOLIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: NY 226111) |
| Additional Taxonomies | 2085R0001X (Licence: NJ 25MA07817100) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-10-27 |