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Goodwill and Intangible Assets - Summary of Goodwill and Intangible Assets (Details) - USD ($)
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Indefinite lived:    
Goodwill, gross $ 10,513,371 $ 10,513,371
Goodwill, net book value 10,513,371 10,513,371
Definite lived:    
Intangible assets, gross 10,473,761 10,473,761
Intangible assets, accumulated amortization (8,343,900) (7,847,406)
Intangible assets, net book value 2,129,861 2,626,355
Total goodwill and intangible assets, gross 20,987,132 20,987,132
Total goodwill and intangible assets, net book value $ 12,643,232 13,139,726
Weighted Average Useful Life (Yrs)    
Definite lived:    
Useful life (in years) 11 years  
Licenses    
Definite lived:    
Intangible assets, gross $ 1,323,761 1,323,761
Intangible assets, accumulated amortization (1,323,761) (1,305,600)
Intangible assets, net book value $ 0 18,161
Licenses | Weighted Average Useful Life (Yrs)    
Definite lived:    
Useful life (in years) 10 years  
Bioject    
Definite lived:    
Intangible assets, gross $ 5,100,000 5,100,000
Intangible assets, accumulated amortization (2,988,889) (2,735,556)
Intangible assets, net book value $ 2,111,111 2,364,444
Bioject | Weighted Average Useful Life (Yrs)    
Definite lived:    
Useful life (in years) 12 years  
Other    
Definite lived:    
Intangible assets, gross $ 4,050,000 4,050,000
Intangible assets, accumulated amortization (4,031,250) (3,806,250)
Intangible assets, net book value $ 18,750 $ 243,750
Other | Weighted Average Useful Life (Yrs)    
Definite lived:    
Useful life (in years) 18 years