International CTEPH Association

Kindly complete your registration by providing the details below.

Personal & Professional:

Last Name:

Siddiqui

First Name:

Shuaib

Middle Initial:

title_add:

Phone #:

67 37131484

Hospital / Institution / Company:

MOH Brunei

Classification:

Cardiologist

Position:

Consultant

Address:

e-Mail:

drshuaibsiddiqui@gmail.com

Street and House Number:

SIMPANG 41-39; H/No:39

City:

Bandar Seri Begawan

Zip Code:

BE1318

State:

Muara

Country:

Brunei

Membership benefits:

agree with your name and institution:

Site Information:

program for the treatment:

program set up:

currently taken care:

approximate number:

normally referred:

you have plans:

Yes; we are in process to setup a program soon