| NPI | 1063622819 |
|---|---|
| Former Name | MIGUEL A PENA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A101128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10021613) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-12-13 |