International CTEPH Association

Kindly complete your registration by providing the details below.

Personal & Professional:

Last Name:

Test

First Name:

Victor

Middle Initial:

James

title_add:

MD, Prof

Phone #:

001 806 433 155

Hospital / Institution / Company:

Texas Tech University Medical Center

Classification:

Respiratory Physician

Position:

Professor of Medicine

Address:

e-Mail:

victor.test@ttuhsc.edu

Street and House Number:

3601 4th Street STOP 9410

City:

Lubbock

Zip Code:

79430-9410

State:

Texas

Country:

USA

Membership benefits:

Site Information:

program for the treatment:

program set up:

currently taken care:

patients operated:

approximate number:

normally referred:

Creighton University Medical Center, Omaha