NPI | 1275169112 |
---|---|
Former Name | JONATHAN FRIED |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD489515) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1014823) |
Enumeration Date | 2020-03-22 |
Last Update Date | 2025-09-18 |