| NPI | 1053422287 |
|---|---|
| Other Name | MIKE OTOOLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: WA md00043475) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR md23149) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-10 |