| NPI | 1326891706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL M KUM Clinician 443-421-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 132700000X Dietary Manager |
| 133N00000X Nutritionist | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171400000X Health & Wellness Coach | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-07-11 |