Individual
DR. LAHAV NISSIM
Active
Individual
DR. LAHAV NISSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
41679
AZ
2085R0204X
Vascular & Interventional Radiology Physician
78350
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
615187
—
AZ
Enumeration date
06/25/2007
Last updated
02/07/2024
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