International CTEPH Association

Kindly complete your registration by providing the details below.

Personal & Professional:

Last Name:

Kohli

First Name:

Sanjivan

Middle Initial:

Phone #:

1 949443-4114

Hospital / Institution / Company:

Mission Hospital

Classification:

Respiratory Physician

Position:

Pulmonary and Critical Care Medicine Physician

Address:

e-Mail:

sanji@kohli.com

Street and House Number:

30230 Rancho Viejo Road

City:

San Juan Capistrano

Zip Code:

92675

State:

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