| NPI | 1972666147 |
|---|---|
| Other Name | TEDDY DOUGLAS SHIELDS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AR E3420) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AR E3420) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: AR E3420) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2022-05-27 |