May I ask... whats the average age of these medical specialists and if there is data, at what age generally do they start earning these RM 40K pm salary.

Based on the stats released by BN and PH gov over the years, there are ballpark only 5K persons earning above RM 1 million, and of which around 2K persons earning above RM 2 million.

I always thought the CEOs and c-suites of top firms in Malaysia and MNCs are the ones earning above RM 2 million above.

This is true... Gov did mention that only around 2.5 million persons pay income tax, while the entire workforce is at around 15 million persons. That's like 85% of working population earns lesser than RM 4K

Rm 10K average per day for a medical consultant, no matter how senior or capable, does appear to be too much, especially after what we know about the max charges per consultation visit.
How effective is a doctor if all he does is see a patient for 15 minutes and then dispense with his advice/prescriptions, and do it for a straight 10 hours for a day (lets forget the fact that the doctor doesn't need to go to toilet or eat or rest). How good will he be?

either the number is wrong, or he should be reported.

btw, I am not saying he should not be earning a high income, but the law on max fee is there. Just do the math.

Fair enough for doctors who actual surgeons and/or perform surgery (even minor ones). My analysis was based on the statement by D-Frog that a medical doctor/consultant who just consult can make 250K rm per month. That is almost impossible based on available time and max fee charges imposed by the government.
When it comes to surgeons, for example, it is basically how many surgeries he/she performs in totality. Sad to say, it also means a heart bypass will cost the same whether it is a damn good surgeon or a normal surgeon.