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An Italian mafia boss who inspired “The Godfather” movie franchise died on Monday after decades on the run.

Matteo Messina Denaro one of the leaders of the Cosa Nostra and responsible for dozens of murders. He was captured after decades on the run as Italy’s No. 1 fugitive.

Italian police say Denaro, 61, had plastic surgery and lived under a false identity since 1993.

His true identity was discovered through DNA when he underwent cancer treatment at a private hospital in Palermo in January, Italian prosecutors said.

He was admitted to the hospital under the false name Andrea Bonafede. Following his arrest, he was transferred to a maximum-security jail in Italy.

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News photos show police escorting Denaro out of the hospital where he was undergoing treatment for colon cancer.

Denaro, known as the “boss of bosses” and “The Devil”, was convicted of at least 20 killings, including the murder of a 12-year-old boy.

The Godfather is considered one of the greatest films ever made. It is ranked No. 2 on the list of greatest films by the American Film Institute.