Individual
BOULOS S NASSAR
Active
Individual
BOULOS S NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
37820
IA
207R00000X
Internal Medicine Physician
R7560
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
37820
IA
207RP1001X
Pulmonary Disease Physician
Primary
37820
IA
Other
Enumeration date
05/23/2007
Last updated
06/16/2011
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