NPI | 1992867857 |
---|---|
Professional Name | PENA L JORGE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: PR 8626) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 1992867857) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2022-09-20 |