Never used multi-indexed summations in my life, neither has anyone else I know.
https://en.wikipedia.org/wiki/Multinomial_theorem
does not define an upper index for the multi-indexed sum, which gives the sum no meaning whatsoever.
However, it does for some reason have an ordered set of numbers as an index for a multi-indexed sum and then completely fails to explain the procedure for each of those indices in that set. Is it a nested sum? A product of sums? A sum of products? Is each sum a coefficient of some polynomial? Is each polynomial a coefficient of some sum? And to what end-index? How do you use any part of this theorem? The world may never know.
Here we look at the connection between binomial expansion and multinomial expansion for the cases $n=2$ and $n=3$ which might give a better idea what's going on.
Comment:
Hint: You might find chapter 2: Sums in Concrete Mathematics by R.L. Graham, D.E. Knuth and O. Patashnik helpful. It provides a thorough introduction in the usage of sums.