Associate Member (PNAN)

Fully qualified consultant or SAS doctor (non-consultant/non-trainee doctor) based in the UK or Ireland who has a current GMC registration and is a member of the Paediatric Neuroanaesthesia Network.

Full Name(Required)

Title(Required)

Speciality(Required)

Registration Number(Required)

Email(Required)

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Main Hospital of Work(Required)

Contact Telephone Number(Required)

Home Address(Required)

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