IX CONGRESSO NAZIONALE AITOG

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

Dario Perugia, Vito Pesce

Event Timing

02/12/2021 - 03/12/2021

Event Location

Roma

Address

, Roma