This cell is a BiCMOS buffer, sending a signal at high speed to other parts of the chip. The large boxy transistor in the upper left is a bipolar NPN transistor. Its construction is very different from the long, thin CMOS transistors. Bipolar is fast, but power-hungry. 16/21
Here is a BiCMOS inverter, using two NPN transistors, visible at the top. 17/21