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 |