Basic Info

First Name

Last Name

Title/Degree

Number of Years as Investigator

Location

Phone Number

Assistant Contact Information

This is the who you want patients to contact to get more information on your studies you are involved in.

Name

Phone Number

Medical Background

School

Medical Degree

Year

Country

City

State

Board Certification(s)

Current Institution

Institution Title

Theranostic Research Background

Responses are all for You as an individual investigator, not your Institution*

Phase 1

Phase 2 or 3

Isotopes You've Been Involved With

Number of Isotopes: 0

Number of Manuscript Authorships regarding Theranostic Trials

Number of Abstracts/Posters/Oral Presentations regarding Theranostic Trials

Theranostic Trials You Served as PI/Co-PI

You must enter at least 6 Phase 1 and at least 6 Phase 2 or 3 trials

Phase 1 (0/6)

Phase 2/3 (0/6)

Manuscript Authorships

You must enter 4 Manuscript Authorships

Authorships (0/4)

Abstracts/Posters/Presentations

You must enter at least 8 presentations

Presentaion Material (0/8)

Upload CV

Select File

I am a licensed physician in good standing with all licensing boards and regulatory agencies. I certify that the answers given herein are true and complete to the best of my knowledge.

Contact XCancer: 402-991-8468