Kindly complete your registration by providing the details below.

Personal & Professional:

Personal & Professional Information

Last Name:
Pussadhamma
First Name:
Burabha
title_add:
Dr.
Phone #:
66 896179959
Hospital / Institution / Company:
Queen Sirikit Heart Center of the Northeast
Classification:
Cardiologist
What is your expectation from becoming a member of the ICA?:
0 currently (02/2020) training for BPA with a team at Marie Lannelongue Hospital, Le Plessis Robinson, France
Address:

Affiliation

Street and House Number:
Faculty of Medicine, Khon Kaen University
City:
Khon Kaen
Zip Code:
40002
State:
0
Country:
Thailand
Membership benefits:

Membership benefits

Site Information:

Site Information

program for the treatment:
No
program set up:
0
currently taken care:
0
approximate number:
0
normally referred:
0
you have plans:
(02/2020) Yes, currently training for BPA with a team at Marie Lannelongue Hospital, Le Plessis Robinson, France.