first jewish doctor in the amazon pulmonologist social dentistry gastroenterology medical clinic cardiologist pediatrics geriatrics nephrologist gynecology hydraulics sanitation engineering construction surgery gynecologist general private international law economics and analysis electrical microeconomics paleontology geology introduction to macroeconomics librarianship obstetrics financial mathematics clinical medicine economy neonatology administration physics ophthalmology dermatologist dermatology unknown urology homeopathy anesthesiologist traumatology surgical otolaryngology cardiology ophthalmologist otorhinolaryngology neurologist allergist pathologist food graduate from para school english