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Stock Options - 2018 Plan (Details) - $ / shares
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Stock Options      
Options granted exercise prices (in dollars per share) $ 31.91 $ 0.94 $ 1.65
Options      
Stock Options      
Service period 4 years    
Contractual life of stock options 10 years    
Options | Directors      
Stock Options      
Service period 1 year    
Vesting period 1 year    
Options | Vesting after first year of service      
Stock Options      
Percentage of shares to vest 25.00%    
Options | Vesting in years two through four      
Stock Options      
Vesting period 36 months    
Stock Incentive Plan 2018      
Stock Options      
Number of shares reserved for issuance (in shares) 1,386,809    
Number of shares available for issuance (in shares) 581,941