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Doctor name
Phone number
Email address
Address
Affiliate hospital
For Official Use Only
Medical school trained (and place)
Year of graduation
Hospital residency training (where/when)
Specialty
Anesthesia
Allergy and Immunology
Cardiology
Cardiothoracic Surgery
Cardiovascular Surgery
Dermatology
Ear Nose and Throat (ENT)
Endocrinology
General Surgery
Internal Medicine
Interventional Radiology
Neurology
Neurosurgery
Nephrology
Orthopedic Surgery
Obstetrics and Gynecology
Ophthalmology
Oncology/Hematology
Pediatrics
Plastic and Hand Surgery
Podiatry
Pulmonology
Physiotherapy
Radiology
Rheumatology
Sports Medicine
Urology
Gastroenterology
Pathology
Psychiatry
Sleep Medicine
Forensic Pathology
Colorectal Surgery
Medical Genetics
Infectious Disease
Others
Medical License No
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