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Trademarks, Licenses and Other Intangible Assets (Details Narrative) - USD ($)
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]      
Amortization of Intangible Assets $ 5,900,000 $ 5,300,000 $ 5,000,000.0
Finite-Lived Intangible Asset, Expected Amortization, Year One 5,400,000    
Finite-Lived Intangible Asset, Expected Amortization, Year Two 4,400,000    
[custom:FiniteLivedIntangibleAssetsAmortizationExpenseAfterTwoYears-0] $ 4,200,000    
Amortization period 14 years    
Weighted average cost of capital 2.50%    
Indefinite-Lived License Agreements $ 79,000,000    
Minimum [Member]      
Finite-Lived Intangible Assets [Line Items]      
Amortization period 3 years    
Maximum [Member]      
Finite-Lived Intangible Assets [Line Items]      
Amortization period 20 years    
Measurement Input, Discount Rate [Member]      
Finite-Lived Intangible Assets [Line Items]      
Weighted average cost of capital 7.47% 6.99% 7.94%
Indefinite-lived Intangible Assets [Member]      
Finite-Lived Intangible Assets [Line Items]      
Amortization of Intangible Assets $ 2,400,000    
Trademarks [Member]      
Finite-Lived Intangible Assets [Line Items]      
Amortization period 8 years    
Licenses [Member]      
Finite-Lived Intangible Assets [Line Items]      
Amortization period 15 years    
Other Intangible Assets [Member]      
Finite-Lived Intangible Assets [Line Items]      
Amortization period 2 years