| Contact Information | |
|---|---|
| First Name | Moses |
| Last Name | David |
| Address | Plot 1 Shekinah Plaza, Garki II |
| City | Abuja |
| State | |
| Province | |
| Zip/Postal Code | |
| Country | Nigeria |
| Home Phone | +234 - |
| Work Phone | - |
| Fax | |
| littlemosesd@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Erb's Palsy - |
| Date of Injury | 03/15/2014 |
| Type of Injury | Obstetric |