| 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 |