| NPI | 1295755916 |
|---|---|
| Former Name | ERIC WILLIAM KHAIRALLAH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D39451) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |