Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD432871 | PA |
N | 208000000X | Pediatrician | MD432871 | PA |
N | 2080P0201X | Pediatric Allergist | C10010517 | DE |
NPI | 1558407981 |
---|---|
Provider Name | Trong Van Le |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 21/11/2013 |