I quote a dedication on a photograph dated 1846:

The Cavalier
Giovanni Rossi
From Sarzana
First surgeon, private councilor
At St. Maria Luigia
Professor of surgical therapy
General Inspector
Founder of the theatre and the cabinet and of the library
In the Hospitals of Parma
Honour and glory
Of the Italian surgery.

From “Appunti per una storia di Sarzana” Ennio Callegari.