Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 4301107032 | MI |
N | 207RH0003X | Hematology & Oncology | 4301107032 | MI |
NPI | 1407112162 |
---|---|
Provider Name | Andrew Daniel Kin |
First Address | Detroit, MI 48201-2013 |
Second Address | Detroit, MI 48201-2013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2012 |
Last Update Date | 09/04/2019 |