| NPI | 1730228214 |
|---|---|
| Professional Name | CHARLES BERNARD MCCANNA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM NM 76-67) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NM 76-67) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2017-01-19 |