Segment Information - Segment assets (Details) - USD ($)	Jun. 30, 2023	Dec. 31, 2022
Segment Reporting, Asset Reconciling Item
Intangible assets, net	$ 10,596,004	$ 12,244,484
Total segment assets	28,727,108	32,421,214
Prescription Medications
Segment Reporting, Asset Reconciling Item
Intangible assets, net	6,032,875	7,178,704
Total segment assets	22,218,785	25,831,048
Medical Devices
Segment Reporting, Asset Reconciling Item
Intangible assets, net	4,563,129	5,065,780
Total segment assets	$ 6,508,323	$ 6,590,166