Kenneth Irwin Shine, M.D. Valid NPI

Individual provider · Cardiovascular Disease Physician · Austin, TX

NPI

1275656845

Type

Individual (Type 1)

Primary specialty

Cardiovascular Disease Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RC0000X

License number

M4689 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-09

Last updated

2007-07-08