Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 10503 | RI |
Y | 207L00000X | Anesthesiologist | MD10503 | RI |
N | 2081P2900X | Pain Medicine | 10503 | RI |
NPI | 1134186752 |
---|---|
Provider Name | Raul A Masing |
First Address | Providence, RI 02905 |
Second Address | Providence, RI 02903-4923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 04/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H54185 | (02) | RI |