Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | IL |
NPI | 1043317357 |
---|---|
Provider Name | Dr. Narayan R. Amin |
First Address | Mattoon, IL 61938-9006 |
Second Address | Danville, IL 61832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |