By day, he is the chief executive officer of a Tokyo startup. At night and on weekends, he works shifts as a doctor. He wants to keep it that way because he needs both to stay in balance.

Sho Okiyama is one of the growing number of what are known in Japan as "entre-doctors," or doctors who are also entrepreneurs, making full use of their medical knowledge and clinical experience in doing business.

What makes Okiyama distinctive is the diversity of his experience. He is an emergency physician who has had to make decisions in life-or-death situations. He has provided medical care in disaster areas and on a doctor-scarce remote island in Okinawa.