Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 1003265505 | VA |
NPI | 1003265505 |
---|---|
Provider Name | Dr. Christopher Sowers |
First Address | San Diego, CA 92134-5000 |
Second Address | Fpo, AP 96350-9998 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 23/01/2022 |