(6R,6'R,7R,7'R)-7,7'-(((2Z,2'Z)-2,2'-(((1,3-dihydroxy-1,3-dioxo-1l5,3l5-diphosphoxane-1,3-diyl)bis(nitrosoazanediyl))bis(1,2,4-thiadiazole-5,3-diyl))bis(2-(ethoxyimino)acetyl))bis(azanediyl))bis(3-((4-(1-methylpyridin-1-ium-4-yl)thiazol-2-yl)thio)-8-oxo-5-thia-1-azabicyclo[4.2.0]oct-2-ene-2-carboxylate)