| Schedule of Accounts Receivable (Details) - USD ($) | Dec. 31, 2023 | Dec. 31, 2022 | 
|---|---|---|
| Receivables [Abstract] | ||
| Accounts receivable, gross | $ 12,799,901 | $ 13,046,646 | 
| Allowance for contractual obligations | (8,208,745) | (8,529,904) | 
| Allowance for doubtful accounts | (1,503,736) | (1,405,773) | 
| Accounts receivable, net | $ 3,087,420 | $ 3,110,969 | 
| X | ||||||||||
| 
- Definition Allowance for contractual obligations current. No definition available. 
 | 
| X | ||||||||||
| 
- Definition Amount, before allowance for credit loss, of right to consideration from customer for product sold and service rendered in normal course of business, classified as current. Reference 1: http://www.xbrl.org/2003/role/disclosureRef 
 | 
| X | ||||||||||
| 
- Definition Amount, after allowance for credit loss, of right to consideration from customer for product sold and service rendered in normal course of business, classified as current. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef 
 | 
| X | ||||||||||
| 
- Definition Amount of allowance for credit loss on accounts receivable, classified as current. Reference 1: http://www.xbrl.org/2003/role/disclosureRef 
 | 
| X | ||||||||||
| 
- References No definition available. 
 |