Board-Certified Neuro-Oncologist & Brain Tumor Specialist
Carilion Clinic · Roanoke, VA
Delivering world-class brain tumor care to the Roanoke Valley and surrounding communities — with fellowship training from MD Anderson Cancer Center and a commitment to bringing clinical trials to our region.
I am a board-certified neuro-oncologist and brain tumor specialist at Carilion Clinic in Roanoke, Virginia — one of the only fellowship-trained brain cancer doctors serving Southwest Virginia and the surrounding Appalachian region.
My training at MD Anderson Cancer Center provided me with deep expertise in managing glioblastoma (GBM), grade 4 astrocytoma, malignant brain tumors, brain metastases, CNS lymphoma, low-grade gliomas, and other complex brain cancers — using the most current protocols and RANO imaging criteria.
My dual training in both neurosurgery and neurology allows me to offer a uniquely comprehensive perspective — understanding the full neurological and oncological picture of each patient's brain tumor diagnosis.
With more than 40 peer-reviewed publications, my research spans neuro-oncology, stereotactic radiosurgery, meningioma management, pituitary tumors, and vascular neurosurgery. I remain committed to advancing the science that directly informs patient care.
A neuro-oncologist is a physician who specializes exclusively in brain tumors and cancers of the nervous system. After a brain tumor diagnosis — whether glioblastoma, astrocytoma, brain metastases, or CNS lymphoma — a neuro-oncologist coordinates all aspects of your cancer treatment, working alongside your neurosurgeon and radiation oncologist to create a personalized, evidence-based treatment plan.
Glioblastoma multiforme (GBM), also called grade 4 astrocytoma, is the most aggressive primary brain cancer. Standard treatment includes surgery followed by concurrent radiation and temozolomide chemotherapy (the Stupp protocol), then maintenance chemotherapy, and in many patients, tumor treating fields (Optune). Molecular markers like MGMT promoter methylation and IDH mutation status are critical in guiding therapy. Clinical trials offer additional options and are available through my practice at Carilion Clinic in Roanoke.
The WHO classifies brain tumors on a grade 1–4 scale based on aggressiveness. Grade 4 astrocytoma includes glioblastoma (GBM) — the highest-grade, fastest-growing primary brain cancer. The 2021 WHO classification also incorporates molecular markers (IDH mutation, TERT promoter, EGFR amplification) to more precisely define each tumor's biology and guide treatment. Early referral to a neuro-oncologist is critical.
Brain metastases occur when cancer from another part of the body — most commonly lung, breast, melanoma, kidney, or colon — spreads to the brain. Treatment depends on the number and size of lesions, the primary cancer type, and your systemic treatment options. Approaches include stereotactic radiosurgery (Gamma Knife), whole-brain radiation, surgery, and targeted or immunotherapy agents that cross the blood-brain barrier.
Yes. I am actively pursuing CTEP registration and NCORP affiliation to bring NCI-sponsored brain tumor clinical trials directly to Carilion Clinic in Roanoke. This means Southwest Virginia patients may be able to access investigational therapies — including novel immunotherapy and targeted agents — without having to travel to distant academic cancer centers.
Referrals from primary care physicians, neurologists, neurosurgeons, and oncologists are welcome. If you or a family member has received a brain tumor diagnosis and would like a neuro-oncology consultation at Carilion Clinic in Roanoke, please call (540) 581-9914.
If you or a loved one has been diagnosed with a brain tumor or complex neurological cancer, I am here to help. Referrals are welcome from all providers in the region.
For urgent neurological concerns, please call 911 or go to the nearest emergency room.