Takashi Akiyama was born in 1965 in Okayama, Japan, where he attended the school brass band of Okayama Ichinomiya senior high school. In 1983, his brass band got a gold prize under his baton.

In 1984, he started to study medicine at the Okayama University. Meanwhile, he joined the Okayama University Symphony Orchestra as a trumpet player. He contributed for his orchestra to win the 1st prize at the All Japan University Orchestra contest as a student conductor. Since he graduated the university, he has been the assistant conductor of Hiroshi Hoshina for the Okayama University Symphony Orchestra.

In 1994, he established the Hoshina Academy Chamber Orchestra with his colleague at the university orchestra in order to practice Hiroshi Hoshina’s unified theory of musical analysis and interpretation.
Having years of experience of assistant conductor at Okayama University Symphony Orchestra, he introduced a training method for amateur orchestras – so called “Oayama University Method”- to his own orchestra.
This combination made his orchestra unique: their ensemble is surprisingly clear and artistic for an orchestra based on non-music career players.

As a medical doctor, he spends his weekdays at the Kawasaki Medical School as an associate professor.