Kindly complete your registration by providing the details below.

Personal & Professional:

Personal & Professional Information

Last Name:
Duenas
First Name:
Jose
title_add:
Pulmonolgy MVPD
Phone #:
57 3125215341
Hospital / Institution / Company:
Cl¡nica Shaio
Classification:
Respiratory Physician
Position:
Chairman
What is your expectation from becoming a member of the ICA?:
Participate in research and records
Address:

Affiliation

Street and House Number:
Diagonal 115 -A # 70. C - 75
City:
Bogota
Zip Code:
111111
State:
Cundinamarca
Country:
Colombia
Membership benefits:

Membership benefits

Site Information:

Site Information

program for the treatment:
Yes
program set up:
2012
currently taken care:
50
patients operated:
Yes
approximate number:
10
normally referred:
0