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 | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 337177-01) |
102L00000X Psychoanalyst (Licence: PA MD443117) | |
102L00000X Psychoanalyst (Licence: NY 337177-01) | |
208000000X Pediatrics (Licence: PA MD443117) | |
2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA10691300) | |
102L00000X Psychoanalyst (Licence: NJ 25MA10691300) | |
Enumeration Date | 2008-04-30 |
Last Update Date | 2025-06-02 |