Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD063532L | PA |
NPI | 1093121758 |
---|---|
Provider Name | Christopher Vojta |
First Address | Edina, MN 55424-1304 |
Second Address | Edina, MN 55424-1304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2014 |
Last Update Date | 02/07/2014 |