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BIDMC Annual Liver Cancer Symposium - 2025
Thank you for registering to attend the 2025 BIDMC 5th Annual Liver Cancer Symposium on Thursday, February 13, 2025
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Your title
(Required.)
MD
MD, PhD
MBBS
RN
NP
Scientific Liaison
Industry Rep
Administrator
Other (please specify)
4.
Specialty
Internal Medicine
Gastroenterology
Hepatology
Oncology
Interventional Radiology
Radiology
Surgery
Other (please specify)
*
5.
E-mail address
(Required.)
6.
Home institution
Atrius Health
BIDMC
BIDMC- Affiliate
BILH
BWH
DFCI
Gastroenterology Affiliates of Southeastern Mass, Brockton
Gastrointestinal Specialists, Brockton
MGH
Open Door Health, Providence, RI
Other (not listed above or Industry
7.
How did you hear about this symposium?
E-mail
Telephone contact
Fax to office
Industry Rep
Other (please specify)
8.
Please select your choice for dinner
slow roasted line caught salmon
Center cut filet of beef
Garlic gnochi, wild mushroom, leeks, parmesan cream sauce
Please note any food restrictions or allergies
Send me a copy of my responses via email