| NPI | 1578738506 |
|---|---|
| Former Name | CHARLES GILBERT ROGERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD443117) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: PA MD443117) |
| 102L00000X Psychoanalyst (Licence: NJ 25MA10691300) | |
| 208000000X Pediatrics (Licence: PA MD443117) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA10691300) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2023-02-16 |