Kindly complete your registration by providing the details below.

Personal & Professional:

Personal & Professional Information

Last Name:
Van Thor
First Name:
Mitch
Middle Initial:
C.J.
title_add:
Dr.
Hospital / Institution / Company:
St. Antonius Hospital
Classification:
Researcher
Address:

Affiliation

Street and House Number:
Lepelaarstraat 1 bisA
City:
Utrecht
Zip Code:
3582 SK
State:
0
Country:
The Netherlands
Membership benefits:

Membership benefits

updated by email:
Yes
Site Information:

Site Information

program for the treatment:
Yes
program set up:
0
currently taken care:
0
patients operated:
Yes
approximate number:
0
normally referred:
0