| NPI | 1487017752 |
|---|---|
| Former Name | MICHAEL VISHNEVETSKY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 303842) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WI 70036) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2021-12-07 |