The rank is rated OF-8 in NATO, and is grade B7 in the pay rules of the Federal Ministry of Defence. It is equivalent to Vizeadmiral in the German Navy (Marine), or to Generaloberstabsarzt, and Admiraloberstabsarzt in the Zentraler Sanitätsdienst der Bundeswehr. On the shoulder straps (Heer, Luftwaffe) there are three golden pips (stars) in golden oak leaves.