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Stockholders' Equity and Convertible Preferred Stock (Details 1) - Warrant [Member]
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2019
USD ($)
$ / shares
shares
Number of shares  
Outstanding at beginnning | shares 294,072
Issued | shares 301,960
Exercised | shares (235,294)
Expired | shares (8,799)
Outstanding at ending | shares 351,939
Weighted Average Exercise Price  
Beginnning balance $ 38.15
Issued
Exercised
Expired 476.66
Ending balance $ 19.96
Total Intrinsic value  
Outstanding at beginning | $
Issued | $ 506,273
Exercised | $ $ 394,940
Expired
Outstanding at ending | $ $ 111,332
Weighted Average Remaining Contractual Life (In years)  
Outstanding at beginning 1 year 11 months 1 day
Outstanding at ending 11 months 8 days