NPI | 1508371873 |
---|---|
Former Name | PRATIK SHIRISH GOVINDJIE-GOVIND |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54756) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031389) |
363A00000X Physician Assistant (Licence: VA 0110005879) | |
363A00000X Physician Assistant (Licence: MD C0006547) | |
Enumeration Date | 2017-12-08 |
Last Update Date | 2020-04-21 |