International CTEPH Association

Kindly complete your registration by providing the details below.

Personal & Professional:

Last Name:

Quadery

First Name:

Syed

Middle Initial:

Rehan

title_add:

Dr.

Hospital / Institution / Company:

Southmead Hospital

Classification:

Physician

What is your expectation from becoming a member of the ICA?:

0 See email 29.12.12 re agreement to be listed on website

Address:

e-Mail:

rehanquadery@yahoo.co.in

Street and House Number:

ST6 Respiratory Medicine

City:

Bristol

Zip Code:

State:

Country:

Membership benefits:

Site Information:

program for the treatment:

program set up:

currently taken care:

approximate number:

normally referred:

Papworth Hospital, UK