| 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 |