Kindly complete your registration by providing the details below.
Personal & Professional:
Personal & Professional Information
Hospital / Institution / Company:
I.R.C.C.S. Policlinico San Matteo
e-Mail:
0dariodiperna0@gmail.com
Street and House Number:
Piazzale Camillo Golgi 2
Membership benefits:
Membership benefits
program for the treatment:
Yes
currently taken care:
500