Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 50.000471 | OH |
NPI | 1013227628 |
---|---|
Provider Name | George Eli Drogomir |
First Address | Willoughby, OH 44094-4456 |
Second Address | Willoughby, OH 44094-4456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2010 |
Last Update Date | 15/10/2010 |