NPI | 1659834182 |
---|---|
Former Name | DUSTIN ANDERSON-TERHUNE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 13274774-1205) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 13274774-1205) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2023-03-04 |