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Fair Value Measurements (Details 1) - Level 3 [Member] - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Summary of fair value measurements by using significant unobservable inputs    
Opening balance $ 414 $ 1,333
Increase in contingent consideration due to acquisitions 5,851 124
Payment of contingent consideration (585) (974)
Increase in fair value of contingent consideration 255 210
Decrease in fair value of contingent consideration (248)
Amortization of interest and exchange rate 29 (31)
Closing balance $ 5,964 $ 414