Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 53517 | KY |
Y | 207RP1001X | Pulmonary Disease | 53517 | KY |
NPI | 1063827103 |
---|---|
Provider Name | Galo Martin Sanchez Palacios |
First Address | Bowling Green, KY 42101-1708 |
Second Address | Bowling Green, KY 42101-1708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2014 |
Last Update Date | 10/07/2020 |