| NPI | 1922350115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E SHIELDS Member 571-315-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1150) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |