You clearly have knowledge in this arena, and I won't pretend to be any sort of an expert. But I do know what a scam artist looks like when I see one, and Dr Sepan Desai of Surgisphere is a classic grifter from the looks of it. The Guardian has done some good journalism on this story, as have others, and the findings are pretty incredible. This shit will be in a documentary soon. And this guy will probably do some jail time. He uses classic unverifiable nonsense terminology like "machine learning" to obfuscate the fact that he probably made up everything in that 96,000 patient observational study. It is not very different than the project he attempted to crowdfund a few years ago, Neurodynamics Flow (A Revolution in Human Evolution!). "Next generation of human augmentation." No wonder his "science editor" at his bullshit company is actually a science fiction writer. And his sales and marketing director is an "adult model." AKA porn.
What is truly remarkable is that this one guy impacted global medical professionals and entire countries' responses to COVID-19 research, not once, but TWICE, with his ivermectin preprint as well. It is really an incredible story, pathetic and awful as it is, and it is currently the poster child of this entire COVID experience. Even in the most dire of times, you can always count on sociopathic shitbags to try and take advantage any way they can.