Kindly complete your registration by providing the details below.

Personal & Professional:

Personal & Professional Information

Last Name:
Klok
First Name:
Frederikus
Middle Initial:
A
title_add:
MD, PhD
Phone #:
0031 71 526 2085
Hospital / Institution / Company:
Leiden University Medical Center
Classification:
Other
Position:
Internist in Training
Address:

Affiliation

Street and House Number:
Albinusdreef 2
City:
Leiden
Zip Code:
2316VR
State:
0
Country:
The Netherlands
Membership benefits:

Membership benefits

Site Information:

Site Information

program for the treatment:
Yes
program set up:
?
currently taken care:
?
patients operated:
No
approximate number:
0
normally referred:
0