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CURRICULUM VITAE

I. PERSONAL INFORMATION

1.1. Full name Dr. dr. Asra Al Fauzi, SE, MM, Sp.BS(K), FICS, IFAANS

1.2. Rank Neurosurgeon

1.3. Positions Department of Neurosurgery

1.4. Address Gedung Diagnostic Center (GDC) 5th Floor

Department of Neurosurgery Faculty of Medicine

Airlangga University

Dr. Soetomo General Hospital 1.5. Telephone/Fax +6231-5501325 / +6231-5025188

1.6. E-mail asrafauzi@yahoo.com

II. EDUCATIONAL BACKGROUND

2.1. Program: Bachelor Master Doctoral

2.2. University Udayana University

(1989 – 1994)

Airlangga University

(2001 – 2007)

Airlangga University

(2011 – 2015) 2.3. Discipline Medical Science Residency Training

Neurosurgery

Doctoral Program

(Medical Science)

2.4. University Terbuka University

(1997 – 2001)

Shinshu University

(2007 - 2008)

2.5. Discipline Management Neurosurgery

(Postgraduate

Neurosurgical

Training)

2.6. University Ciputra University

(2015-2017)

2.7. Discipline Management

III. AWARDS

Number Years Name of Awards From

1. 1998 Dokter dan Paramedik Teladan Tk. Provinsi Gubernur

Kalimantan Selatan Kalimantan Selatan

2. 1998 Lencana Keteladanan Bhakti Husada

(Dokter Teladan Nasional)

Menteri Kesehatan

Republik Indonesia

3. 2016 2016 American Association of Neurological

Surgeons (AANS) International Traveling

Surgeon Award

American

Association of

Neurological

Surgeons (AANS)

4. 2016 “Satyalancana Karya Satya” Badge of

Honor

Presiden Republik

Indonesia 5. 2016 Airlangga University Outstanding Lecturers

2016

Rektor Universitas

Airlangga 6. 2018 Elsevier – Clinical Neurology and

Neurosurgery Outstanding Reviewer

Elsevier

IV. ACADEMIC SERVICES

Subject : Teaching:

1. Undergraduate :

Anamnesis dan Pemeriksaan fisik di Departemen Bedah Saraf

2. Magister :

Management Of Stroke Hemmorrhage

Neurosurgical Management Of Subarachnoid Hemmorrhage &

Cerebral Aneurysm

Neurosurgical Management Of Brain AVM

Neurological & Radiologic Assesment In Neurovascular

Diseases

Ilmu Bedah Dasar

3. Professional Program :

4. Doctoral :

5. Promotor :

(ex. Research Methods (undergraduate, master and doctoral level)

V. RESEARCH INTERESTS & ACTIVITIES

1. Cerebrovascular Surgery and Endovascular

2. Skullbase Neurosurgery

3. Neuroscience and Stem Cell

4. Medical Entrepreneurship

VI. RESEARCH EXPERIENCE

No. Years Title Funding Sources

1. 2001 The Profile of Head Injury at

Soetomo General Hospital :

Descriptive Analysis of 1000 cases

Private

2. 2002 Management of Head Injury at

Rural Area

Private

3. 2003 Brain Cell Culture Private

4. 2004 Ethical Issues in Neurosurgical

Practices

Private

5. 2004 Understanding Brain Death Private

6. 2006 Head injury in Pregnancy : Review

and Case Reports

Private

7. 2006 The Use of Mannitol in The

Treatment of Head Injury

Private

8. 2007 The Role of Acidic Fibroblast

Growth Factor on The Amount of

Anterior Horn Neuron and

Schwann Cell after Sharp Injury of

Peripheral Nerve

Private

9. 2009 Dural Non-Hodgkin Lymphoma

Mimicking Subdural Hematoma

Private

10. 2009 Successful Mild Hypothermia for

Severely Head Injured Patients with

Bilateral Pupillary Dilatation after

Snowboard Injury : Report of Two

Cases

Private

11. 2014 Transplantasi Intraventrikular Bone

Marrow Mesenchymal Stem Cell

Pada Pasien Pasca Stroke

Perdarahan Intraserebral Dapat

Memperbaiki Fungsi Neurologis

Dan Hubungannya Dengan Kadar

Bdnf, Vegf Dan Vimentin Cairan

Serebrospinalis

Private

12. 2014 Brain Death ; Diagnosis and

Clinical Application

Private

13. 2014 Pregnancy in Head Injury : Friend

or Foe? A proposed guideline for

the Management of Head Injury in

Pregnancy

Private

14. 2016 Kernohan’s notch syndrome in acute subdural hematoma: significance of

coronal views of computed

tomography scan imaging for

Private

emergent preoperative diagnosis 15. 2016 Intraventricular Transplantation of

Autologous Bone Marrow Mesenchymal Stem Cells via Ommaya

Reservoir in Persistent Vegetative

State Patients after Haemorrhagic Stroke: Report of Two Cases &

Review of the Literature

Private

16. 2017 A Rare Case of Repeated Migration

and Transurethral Extrusion of Ventriculoperitoneal Shunt

Private

17. 2017 Upward Migration and Peroral

Extrusion of a Peritoneal Shunt Catheter: Case Report and Review of

the Literature

Private

18. 2017 Clinical Outcomes of Repeated

Intraventricular Transplantation of Autologous Bone Marrow

Mesenchymal Stem Cells in Chronic

Haemorrhagic Stroke. A One-Year Follow Up

Private

19. 2018 Duraplasty Using Amniotic Membrane

Versus Temporal Fascia: A Clinical

Comparative Study

Private

VII. PUBLIC SERVICES EXPERIENCES

No. Years Title Funding

Sources

1.

2014

11th International Conference On Cerebrovascular

Surgery | “Role of Cerebrovascular Surgery in the

Reduction of Morbidity & Mortality in CVA Patients”

Private

2. 2014

Seminar Awam “Aman & Nyaman Berkendara dengan Si

Kecil”

Private

3. 2014

Tanya Dokter “Teknologi Terkini dalam Penanganan

Stroke”

Private

4.

2014

The 19th Annual Scientific Meeting of Indonesian

Society of Neurological Surgeons (PIT XIX

PERSPEBSI)

Private

5. 2014

The 39th Biennial World Congress of the International

College of Surgeons

Private

6. 2014

Update on Emergency in Neurosurgery “How to Deal

with Neurosurgery Case”

Private

7. 2015

20th National Congress of Indonesian Surgeons

Associations (MABI XX 2015)

Private

8. 2015 Jember Neuroemergency Update Private

9. 2015

Workshop on Stem Cell (Batch IX)

Neuromusculuskeletal Stem Cell

Private

10. 2015 2015 Asian-Australasian Society for Stereotactic and

Functional Neurosurgery (AASSFN) Interim Meeting in

Private

conjunction with The 20th Annual Scientific Meeting of

Indonesian Society of Neurological Surgeons (PIT

PERSPEBSI)

11. 2015 Emergency for Every Doctor Symposium Private

12. 2016 Simposium Nasional Update Manajamen Perawatan

Cedera Servikal dan Serebrovaskuler

Private

13. 2016 Symposium | The 11th Asian Congress of Neurological

Surgeons (ACNS) 2016 in conjunction with The 21st

Annual Scientific Meeting of Indonesian Society of

Neurological Surgeons (PERSPEBSI)

Private

14. 2016 Seminar Ilmiah “Advanced Technology in the

Management of Brain Tumor and Neurovascular Lesion”

dan Workshop “Glioma Management”

Private

15. 2016 Simposium Future of Stem Cell Research and

Therapeutic Application in Indonesia

Private

16. 2017 Surabaya Surgical Update – SSU 2017 “Surgical Aspects

of All Non Traumatic Emergency”

Private

17. 2017 The 4th Jakarta Neurology Exhibition Workshop and

Symposium “Strengthening Neurology Practice for

Community Beneficence”

Private

18. 2017 Symposium The 17th ASEAN Congress of Neurological

Surgery and The 7th National Congress of Indonesian

Society of Neurological Surgeons in conjunction with

The 1st International Fujita Bantane Interim Meeting of

Neurosurgery

Private

19. 2017 Simposium Pertemuan Ilmiah Tahunan ke 22 (PIT XXII

IKABI) 2017 | Peran Spesialis Bedah Dalam

Menggunakan Teknologi Bedah Terkini, Mumpuni dan

Bermutu di PPK2 (Pelaksanaan Pelayanan Kesehatan 2)

pada Era Globalisasi

Private

20. 2017 2017 5th International Conference on Instrumentation,

Communications, Information Technology, and

Biomedical Engineering

Private

21. 2017 Seminar ‘Penatalaksanaan Neurodegeneratif dalam

Perspektif Bedah Saraf’ dalam rangka HUT ke-90 RSUP

dr. Soeradji Tirtonegoro Klaten

Private

22. 2018 Symposium of 16th Basic Molecular Biology Course on

Molecular Aspect of Stem Cell & Metabolic

Private

23. 2018 Asia Pacific Stroke Conference 2018 Private

24. 2018 Advanced Simulative Training on Neurointerventional

Procedure

Private

VIII. ACADEMIC PUBLICATIONS

No. Year Title Volume (Issue) Journals

A. International Journals – Published

1. 2018 Duraplasty Using Amniotic Membrane

Versus Temporal Fascia: A Clinical

50(2018) Journal of Clinical

Neuroscience

Comparative Study

2. 2017 Clinical Outcomes of Repeated

Intraventricular Transplantation of Autologous Bone Marrow Mesenchymal

Stem Cells in Chronic Haemorrhagic

Stroke. A One-Year Follow Up

2017(11) Open Neurology

Journal

3. 2017 Upward Migration and Peroral

Extrusion of a Peritoneal Shunt

Catheter: Case Report and Review of

the Literature

8(178) Surgical Neurology

International

4. 2017 A Rare Case of Repeated Migration and

Transurethral Extrusion of

Ventriculoperitoneal Shunt

12(1) Journal of Pediatric

Neurosciences

5. 2016 Intraventricular Transplantation of Autologous Bone Marrow Mesenchymal

Stem Cells via Ommaya Reservoir in

Persistent Vegetative State Patients after Haemorrhagic Stroke: Report of Two

Cases & Review of the Literature.

12(2) Journal of Stem Cells & Regenerative

Medicine

6. 2016 Kernohan’s notch syndrome in acute

subdural hematoma: significance of coronal views of computed tomography

scan imaging for emergent preoperative

diagnosis

4(8) International Journal

of Research in Medical Sciences

7. 2014 Pregnancy in Head Injury : Friend or

Foe? A proposed guideline for the

Management of Head Injury in

Pregnancy

2(4) Journal of Medical

Science and Clinical

Research

8. 2014 Brain Death ; Diagnosis and Clinical

Application

2(4) Journal of Medical

Science and Clinical

Research

9. 2009 Successful Mild Hypothermia for Severely Head Injured Patients with

Bilateral Pupillary Dilatation after

Snowboard Injury : Report of Two Cases

7 Medical Journal of Aizawa Hospital

10.

B. National Journals – Published

1. 2009 Dural Non-Hodgkin Lymphoma Mimicking Subdural Hematoma

V(1) Media of Neurosurgery

2. 2006 Head injury in Pregnancy : Review and

Case Reports

IV(1) Media of

Neurosurgery

3. 2004 Understanding Brain Death II(3) Media of Neurosurgery

4. 2004 Ethical Issues in Neurosurgical

Practices

II(3) Media of

Neurosurgery

5. 2003 Brain Cell Culture I(3) Media of Neurosurgery

6.

C. Other Publication

1. 2018 Menuju Disruptive Sport Era Tuesday, 3 July 2018 Opini Jawa Pos

2. 2018 Sudden Death dan Kekerasan pada Sunday, 4 February 2018 Opini Jawa Pos

Kepala

3. 2017 Menuju Kampus Inventor dan Inovator Friday, 13 October 2017 Opini Jawa Pos

4. 2016 Refleksi Hari Stroke Sedunia; Waspada dan Kenali Ministroke

Monday, 7 November 2016 Opini Jawa Pos

5. 2016 Ali dan Gunung Es Komplikasi Otak

Petinju

Thursday, 9 June 2016 Opini Jawa Pos

6. 2015 Refleksi Hari Stroke Dunia; Dari Silent Epidemic Jadi Pembunuh No 1

Friday, 30 October 2015 Opini Jawa Pos

7. 2015 Mati Otak sebelum “Mati” Monday, 9 March 2015 Opini Jawa Pos

8. 2014 Edukasi dan Kampanye untuk

Pencegahan

Wednesday, 29 October

2014

Opini Jawa Pos

IX. MEMBERSHIP

No Organization Position Year

1 Ikatan Dokter Indonesia Member Since 1996

2 Ikatan Ahli Bedah Indonesia Member Since 2007

3 Perhimpunan Spesialis Bedah

Saraf Cabang Surabaya

Secretary General Since 2013

4 Neurosurgery Technology

Committee of World Federation of Neurosurgical Societies

(WFNS)

Executive Member Since 2018

5 Congress of Neurological

Surgeons (CNS)

International Member Since 2010

6 American Association of

Neurological Surgeons (AANS)

International Member Since 2011

7 Asian Congress of Neurological

Surgeons (ACNS) Executive Board Member Since 2010

8 Walter E. Dandy Neurosurgical

Society (WEDNS)

Member Since 2012

9 Academia Eurasiana

Neurochirurgica (AEN)

Member Since 2016

10 International College of

Surgeons (ICS)

Member Since 2016

11 International Society of

Minimally Invasive Techniques in Neurosurgery (ISMINS)

Executive Board Member Since 2016

12 American Association of

Neurological Surgeons

International Fellow (IFAANS) Since 2015

13 International College of

Surgeons

Fellow (FICS) Since 2016

14 European Association of

Neurosurgical Societies (EANS) International Member &

Member of Vascular Section

Since 2017

15 American College of Surgeons

(ACS) Associate Fellow Since 2018

16 Indonesia HealthCare Forum

(IndoHCF)

Member Since 2018

X. RESEARCH SERVICES

……………………………………….

XI. BOOKS

No. Year Title Number of Pages

Publisher

1. 2018 "Eyebrow Keyhole Approach In Aneurysm

Surgery" in Neurovascular Surgery; Surgical

Approaches for Neurovascular Diseases (Contributor)

6 Springer Open

2.

3.

Proceeding

1. 2016 Intraventricular Transplantation of Autologous

Bone Marrow Mesenchymal Stem Cells in

Hemorrhagic Stroke

1 Journal of Neurosurgery

Vol. 124, No. 4, pp.

A1192-A1192 April 2016

D. International Conferences

1 2018 Intraventricular Transplantation of Stem Cells in Chronic Haemorrhagic Stroke

World Federation of Neurosurgical Societies

(WFNS) Symposia 2018

17-19 August 2018,

Kuala

Lumpur, Malaysia.

2. 2018 Human Amniotic Membrane for

Duraplasty: Early Technical Experience

in Surabaya-Indonesia

World Federation of

Neurosurgeons –

Technology Committee Symposium

5-6 July

2018, Zurich

– Switzerland.

3. 2018 Human Amniotic Membrane for

Duraplasty: A Clinical Study

The 20th Academia

Eurasiana Neurochirurgica

6-8 June

2018, Nagano –

Japan.

4. 2018 Extreme Complication of VP Shunt The 12th International

Conference of the Asian Congress of Neurological

Surgeons (ACNS) 2018

March 14-18,

2018, Dubai – United

Arab

Emirates.

5. 2017 Clinical Trial and Preparation of Amniotic Membrane as Dura Mater

Artificial

2017 5th International Conference on

Instrumentation,

Communications,

November 6-7, 2017,

Bandung –

Indonesia.

Information Technology,

and Biomedical Engineering

6. 2017 Guideline of Management of Severe

Head Injury in Pregnancy

European Association of

Neurosurgical Societies

(EANS) 2017 Congress

October 1-5,

2017, Venice

– Italy.

7. 2017 Motivational Compensation Design for

Surgeon in Neurosurgical Group

Services in Surabaya

The 4th International

Conference on

Entrepreneurship 2017

(ICOEN 2017)

September 6-

8, 2017, Dili

– Timor

Leste.

8. 2017 Update in The Strategy of Treatment of

Cerebral Aneurysm

The 3rd Northern Vietnam

Scientific Neurosurgical

Conference

August 26,

2017, Hai

Phong – Vietnam.

9. 2017 The Surgical Treatment of Cerebral

Aneurysm

The 3rd Northern Vietnam

Scientific Neurosurgical

Conference

August 26,

2017, Hai

Phong – Vietnam.

10. 2017 Minimally Invasive Strategy in

Aneurysm Surgery; Cerebral

Cavernoma : Current Controversies in Management

Symposium The 17th

ASEAN Congress of

Neurological Surgery and The 7th National Congress

of Indonesian Society of

Neurological Surgeons in conjunction with The 1st

International Fujita Bantane

Interim Meeting of Neurosurgery

July 21-22,

2017,

Balikpapan, Indonesia.

11. 2017 Cranial Keyhole Surgery : Principles

and Applications

1st International and 5th

Annual Conference of

Nepalese Society of Neurosurgeons with

Theme: Reshaping

Neurosurgery in South Asia : Controversy,

Collaboration and

Consensus

March 10-11,

2017,

Kathmandu, Nepal.

12. 2017 Management of Severe Head Injury in Pregnancy : Single Center Experience

1st International and 5th

Annual Conference of

Nepalese Society of

Neurosurgeons with Theme: Reshaping

Neurosurgery in South Asia

: Controversy,

Collaboration and Consensus

March 10-11, 2017,

Kathmandu,

Nepal.

13. 2016 Management of Ruptured Cerebrfal

Aneurysm: Coil or Clip?

The 17th Annual Vietnam

Neurosurgical Conference

December 1,

2016, Hanoi – Vietnam.

14. 2016 Intraventricular Transplantation of

Autologous Bone Marrow Mesenchymal

Stem Cell in Hemorrhagic Stroke

2016 American Association

of Neurological Surgeons

Annual Scientific Meeting

April 30,

2016,

Chicago – USA.

15. 2016 Eyebrow Keyhole Approach in

Aneurysm Surgery : Concept & Technique

Symposium | The 11th

Asian Congress of Neurological Surgeons

(ACNS) 2016 in

conjunction with The 21st

Annual Scientific Meeting of Indonesian Society of

Neurological Surgeons

(PERSPEBSI)

March 10-12,

2016, Surabaya –

Indonesia.

16. 2015 Intraventricular Transplantation of

Autologues Bone Marrow Mesenchymal

Stem Cell for Stroke : Rationale,

Technique and Early Clinical Experience

2015 Asian-Australasian

Society for Stereotactic and

Functional Neurosurgery

(AASSFN) Interim Meeting in conjunction

with The 20th Annual

Scientific Meeting of Indonesian Society of

Neurological Surgeons

(PIT PERSPEBSI)

November 6-

7, 2015, Bali

– Indonesia.

17. 2015 Cranial Keyhole Surgery ; Principles and Applications

6th Asian Congress of Neurological Surgeons

Educational Course

10-12 February

2015,

College of Medical

Sciences,

Chitwan –

Nepal

18. 2014 Role of Cerebrovascular Surgery in the

Reduction of Morbidity & Mortality in

CVA Patients

11th International

Conference On

Cerebrovascular Surgery | “Role of Cerebrovascular

Surgery in the Reduction of

Morbidity & Mortality in

CVA Patients”

13-14

December

2014, Tangerang –

Indonesia

19. 2014 Minimally Invasive Cranial Keyhole

Surgery

The 39th Biennial World

Congress of the

International College of Surgeons

20-25

October

2014, Bali – Indonesia.

20. 2014 Microsurgical Experience Using

Keyhole Eyebrow Approach on Anterior

Circulation Aneurysm

10th Asian Congress of

Neurological Surgeons

9-12

September

2014, Astana,

Kazakhstan.

21. 2014 Toward Zero Mortality in Acute

Epidural Hematoma: A review of 268 surgical cases in Surabaya, Indonesia

10th Asian Congress of

Neurological Surgeons

9-12

September 2014,

Astana,

Kazakhstan.

22. 2014 Massive Venous Infarction after

Arteriovenous Malformation Surgery : a

case report

2nd World AVM Congress 18-20 June

2014, Nancy,

France.

E. National Conference

1. 2018 CEA vs CAS Advanced Simulative

Training on

Neurointerventional Procedure

September

28-29, 2018, Jakarta,

Indonesia.

2. 2018 Updates in Endovascular and

Neurological Management of Stroke

Asia Pacific Stroke

Conference 2018

September 6-

9, 2018, Jakarta –

Indonesia.

3. 2018 Stem Cell Therapy in Stroke : Early Clinical Experience in Surabaya

Symposium of 16th Basic

Molecular Biology Course

on Molecular Aspect of Stem Cell & Metabolic

May 4-6,

2018, Malang – Indonesia.

4. 2017 Penatalaksanaan Neurodegeneratif dalam Perspektif Bedah Saraf

Seminar ‘Penatalaksanaan

Neurodegeneratif dalam

Perspektif Bedah Saraf’ dalam rangka HUT ke-90

RSUP dr. Soeradji Tirtonegoro Klaten

November 15,

2017, Klaten – Indonesia.

5. 2017 New Horizon of Stem Cell

Transplantation in Neurological Diseases

Simposium Pertemuan

Ilmiah Tahunan ke 22 (PIT

XXII IKABI) 2017 | Peran

Spesialis Bedah Dalam Menggunakan Teknologi

Bedah Terkini, Mumpuni

dan Bermutu di PPK2 (Pelaksanaan Pelayanan

Kesehatan 2) pada Era Globalisasi

July 28-29,

2017, Jakarta, Indonesia.

6. 2017 Stem Cell Therapy in Neurological

Disease : a Promising Therapy? The 4th Jakarta Neurology

Exhibition Workshop and

Symposium “Strengthening

Neurology Practice for Community Beneficence”

March 23-27,

2017, Jakarta, Indonesia.

7. 2017 Surgical Management of Stroke in Emergency Phase

Surabaya Surgical Update –

SSU 2017 “Surgical Aspects

of All Non Traumatic Emergency”

March 11-12,

2017,

Surabaya, Indonesia.

8. 2016 Stem Cell in Neurological Disorders: Rationale, Technique, and Early

Clinical Experience

Simposium Future of Stem

Cell Research and

Therapeutic Application in Indonesia

December 10,

2016,

Manado, Indonesia.

9. 2016 ICG Videoangiography in Neurovascular Surgery

Seminar Ilmiah “Advanced

Technology in the Management of Brain

Tumor and Neurovascular

Lesion” dan Workshop “Glioma Management”

October 15,

2016, Surabaya – Indonesia.

10. 2016 Nursing Care of Patient with

Subarachnoid Hemorrhage Simposium Nasional Update

Manajamen Perawatan

January 23,

2016,

Cedera Servikal dan Serebrovaskuler

Surabaya – Indonesia.

11. 2016 Surgical Management of Stroke in

Emergency Phase Emergency for Every

Doctor Symposium

January 9-10,

2016,

Surabaya – Indonesia.

12. 2015 Stem Cell Based Therapy for Stroke :

Direct Intraventricular Transplantation using Autologues Bone Marrow

Mesenchymal Stem Cell

20th National Congress of

Indonesian Surgeons

Associations (MABI XX 2015)

August 20-22,

2015,

Shangri-La

Hotel Surabaya,

Surabaya – Indonesia.

13. 2015 Stroke Management in Emergency Jember Neuroemergency Update

May 23,

2015, Jember

Klinik

Hospital, Jember – Indonesia.

14. 2014 How to Deal with Neurosurgery Case Update on Emergency in Neurosurgery “How to Deal with Neurosurgery Case”

6 December 2014,

Surabaya – Indonesia

15. 2014 Teknologi Terkini dalam Penanganan

Stroke Tanya Dokter “Teknologi

Terkini dalam Penanganan Stroke”

21 Desember

2014, RS

Mitra

Keluarga, Surabaya

16. 2014 Aman & Nyaman Berkendara dengan Si Kecil

Seminar Awam “Aman &

Nyaman Berkendara dengan Si Kecil”

29 November

2014, RS

Mitra Keluarga, Surabaya

17. 2014 Eyebrow Keyhole Approach in

Aneurysm Surgery The 19th Annual Scientific

Meeting of Indonesian Society of Neurological

Surgeons (PIT XIX PERSPEBSI)

31 October-1

November 2014,

Palembang – Indonesia

18. 2014 Management of Hydrocephalus in

Hemorrhagic Stroke Workshop neurovascular

national scientific meeting 2014

8-11 May

2014, Surabaya

All data that I have entered and listed in this biodata is correct and legally accountable. And if it later turns

out to be incompatible with reality, I am able to accept the risk.

Surabaya, 23 October 2018

Dr. dr. Asra Al Fauzi, SE, MM, Sp.BS(K), FICS, IFAANS

NIP. 19701001 200003 1 010