CONGRESSO NAZIONALE AIP

1.Personal Data

Last Name*

First Name*

Date of Birth

Place of Birth

Address*

N.*

City*

Postal Code*

Province*

Telephone Number

Mobile Number*

E-mail*

Institute/Hospital

Occupation

Discipline

2.Invoice Data

3.Type of registration

4.Additional Services

5.Hotel Accommodation

Event President

Alessandro Are, Francesco Liuzza

Event Timing

28/05/2021 - 29/05/2021

Event Location

Università Cattolica del Sacro Cuore - Roma Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Address