44 Medical services; Medical services, namely, primary care physician services; medical services in the field of pediatrics, allergies, cardiology, cardiothoracics, cariovascular, endocrinology, ear nose and throat, gastroenterology, general surgery, nephrology, neurosurgery, opthamology, orthopedics, pain management, rehabilitation, podiatry, pulmonology, urology, ultrasounds, x-rays; out-patient and ambulatory medical services