It's maintained by James Newton-King, so it's in the hands of .NET royalty :)
Unlike the other gRPC implementations, it's also taken seriously by MSFT's entire developer division. MSFT contributed a bunch of performance improvements to the protobuf runtime and generated code for .NET, the Kestrel webserver team runs gRPC benchmarks, and support for gRPC-Web is baked right into the core frameworks. From a user perspective, it's clear that someone cares about how all the pieces fit together.