| NPI | 1003362351 |
|---|---|
| Former Name | BOUTROS S BADAWI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3800) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 3800) |
| 363A00000X Physician Assistant (Licence: WV 1990) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-07-08 |