Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A30121 | CA |
Y | 208600000X | Surgeon | A30121 | CA |
NPI | 1003161621 |
---|---|
Provider Name | Dr. George J Muhawi |
First Address | Saratoga, CA 95070-6141 |
Second Address | Saratoga, CA 95070-6141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2012 |
Last Update Date | 19/07/2012 |