NPI | 1760502116 |
---|---|
Other Name | ESTEBAN PENA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD 2013-0215) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: OH 57011037) |
207R00000X Internal Medicine (Licence: OH 35.090444) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC PENA-KJSY7U) | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2024-04-27 |