Italy’s No.1 fugitive, convicted Mafia boss Matteo Messina Denaro, was arrested at a private clinic in Palermo, Sicily, after three decades on the run, Italian paramilitary police said.

According to NZherald, Messina Denaro was captured today at the clinic where he was receiving treatment for an undisclosed medical condition, said Carabinieri Gen. Pasquale Angelosanto, who heads the police force’s special operations squad.

In a police photo showing him sitting in a police van, Messina Denaro was wearing a brown leather jacket and white skull cap and his trademark tinted glasses. His face looked wan. He was taken to a secret location by police immediately after the arrest, Italian state television reported.

A young man when he went into hiding, he is now 60. Messina Denaro, who had a power base in the port city of Trapani, in western Sicily, was considered Sicily’s Cosa Nostra top boss even while a fugitive.

He was the last of three longtime fugitive top-level Mafia bosses who had for decades eluded capture.

Messina Denaro, who tried in absentia and convicted of dozens of murders, faces multiple life sentences.

He is set to be imprisoned for are two bombings in Sicily in 1992 that murdered top anti-Mafia prosecutors, Giovanni Falcone and Paolo Borsellino. Among other grisly crimes he was convicted of is the murder of a Mafia turncoat’s young son, who was strangled and his body dissolved in a vat of acid.

The arrest Monday came 30 years and a day after the January 15, 1993, capture in 1993 of convicted “boss of bosses” Salvatore “Toto” Riina, in a Palermo apartment after 23 years on the run. Messina Denaro went into hiding in summer of that same year, as the Italian state waged a crackdown on the Sicilian crime syndicate following the murders of Falcone and Borsellino.

Italian Premier Giorgia Meloni tweeted that Messina Denaro’s capture is a “great victory of the state, which shows that it doesn’t surrender in the face of the Mafia.”

Italy’s Mafia boss who set the record for the longest time on the lam was Bernardo Provenzano, captured in a farmhouse near Corleone, Sicily, in 2006 after 38 years as a fugitive. Once Provenzano was in police hands, the hunt focused on Messina Denaro, but despite numerous reported sightings of the boss, he managed to elude arrest, until Monday.

That all three top bosses were ultimately arrested in the heart of Sicily while they conducted decades of a clandestine life won’t surprise Italy’s police and prosecutors. Law enforcement have long said that such bosses rely on contacts and confidentiality of fellow mobsters and complicit family members to move the fugitives from hideout to hideout, supply basic needs, like food and clean clothing and communication, and a code of silence known as “omerta.”