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Fair Value Measurements (Details 1) - Level 3 [Member] - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Summary of fair value measurements by using significant unobservable inputs    
Opening balance $ 1,333 $ 3,088
Increase in contingent consideration due to acquisitions 124  
Payment of contingent consideration (974) (2,109)
Increase in fair value of contingent consideration 210 1,587
Decrease in fair value of contingent consideration 248 (1,287)
Decrease in liability against other receivables (118)
Amortization of interest and exchange rate (31) 172
Closing balance $ 414 $ 1,333