NPI | 1326193517 |
---|---|
Other Name | BRIAN VINCENT HORTZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT-000967) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-07-08 |