NPI | 1326891706 |
---|---|
Entity Type | Organization |
Authorized Contact | LIONEL M KUM Clinician 443-421-1291 |
Organization Subpart ? | No |
Primary Taxonomy | 133N00000X Nutritionist |
Additional Taxonomies | 132700000X Dietary Manager |
133NN1002X Nutritionist, Nutrition, Education | |
2083B0002X Preventive Medicine, Obesity Medicine | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-04-08 |