NPI | 1235335324 |
---|---|
Professional Name | LAVI NISSIM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: AZ 41679) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 78350) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2024-02-07 |