| NPI | 1841406741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W. SIMON-BAKER Owner 617-818-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A96785) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A96785) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2009-12-08 |