| NPI | 1588826838 |
|---|---|
| Other Name | KHALIL ABDUL WALLIZADA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0067026) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME67026) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2025-01-10 |