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First Name(Required)

Middle Initial

Last Name(Required)

How old are you?(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Mobile (whatsapp)

Gender(Required)

Clinical specialty (select your first specialty only)(Required)

If you selected other, specify your clinical specialty

Name of Your Institution(Required)

Practice Setting(Required)

If you selected other, specify your practice setting

Procedures that you Perform (select all that apply)(Required)

None, clinical consultation only

Ultrasound Examination

Ultrasound-Guided Fine Needle Aspiration Biopsy (FNAB)

Ultrasound-guided Core-Needle Biopsy (CNB)

Ethanol Ablation (EA)

Laser Ablation (LA)

Radiofrequency (RFA)

High Intensity Focused Ultrasound (HIFU)

Microwave Ablation (MWA)

Cryoablation (CA)

Irreversible Electroporation (IRE)

Other

Upload your CV(Required)

Accepted file types: jpg, pdf, Max. file size: 1,000 MB.

Are you interested to training courses?

Yes

No

Subscription <38 years

Price:

Subscription >38 years

Price:

Payment Methods

Stripe / Credit Card

Bank Transfer

Credit Card

Card Details

Cardholder Name

Quantity

Thyroid Nodule Therapies (T.N.T.) Association
Via Galliano 2/1 42124 Reggio Emilia (RE)

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Thyroid Nodule Therapies (T.N.T.) Association Via Galliano 2/1 42124 Reggio Emilia (RE)

Thyroid Nodule Therapies (T.N.T.) Association
Via Galliano 2/1 42124 Reggio Emilia (RE)