International CTEPH Association

Kindly complete your registration by providing the details below.

Personal & Professional:

Last Name:

Jeblawi

First Name:

Issa

Phone #:

7 9264631110

Hospital / Institution / Company:

Bakulev Scientific Center of Cardiovascular Surgery

Classification:

Cardiologist

Position:

Fellow

Address:

e-Mail:

issajblawee@gmail.com

Street and House Number:

1-Ya Vladimirskaya Ulitsa 18, flat 14

City:

Moscow

Zip Code:

111123

State:

Country:

Russia

Membership benefits:

agree with your name and institution:

Site Information:

program for the treatment:

Yes

program set up:

2011

currently taken care:

100

patients operated:

Yes

approximate number:

normally referred: