| NPI | 1821585431 |
|---|---|
| Former Name | ROMAN KHAMITOV |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZH0000X Pathology, Hematology (Licence: FL ME169515) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-07-10 |